1 00:00:00,120 --> 00:00:06,320 Speaker 1: Incident also feeds into cancer. If this activity or the 2 00:00:06,400 --> 00:00:09,760 Speaker 1: cell's not working properly, we can increase cancer growth with 3 00:00:09,880 --> 00:00:13,119 Speaker 1: high incident and then you have high instillent and high glucose. 4 00:00:13,480 --> 00:00:17,000 Speaker 1: It really increases your chance of cancer and lots of 5 00:00:17,040 --> 00:00:25,120 Speaker 1: other conditions Alzheimer's disease, even mental health conditions depression, anxiety, schizophrenia, bipolar, 6 00:00:25,280 --> 00:00:27,240 Speaker 1: all those conditions as well. 7 00:00:37,520 --> 00:00:39,880 Speaker 2: Doctor Abi Chalton, Welcome to the podcast. 8 00:00:40,840 --> 00:00:42,159 Speaker 1: Hi Paul, thanks for having me. 9 00:00:42,800 --> 00:00:45,280 Speaker 2: It's an absolute pleasure. Thank you for returning the Fever 10 00:00:45,840 --> 00:00:48,720 Speaker 2: and coming onto my podcast after I was on yours. 11 00:00:49,320 --> 00:00:52,559 Speaker 2: What conference was it that we met at? Can you remember? So? 12 00:00:52,880 --> 00:00:56,240 Speaker 1: It was actually no, it was just LinkedIn. I was 13 00:00:57,440 --> 00:01:00,440 Speaker 1: sending messages to many, many people to to try and 14 00:01:00,440 --> 00:01:04,399 Speaker 1: connect to many people, and you messaged me back and 15 00:01:04,440 --> 00:01:07,319 Speaker 1: saying let's have a podcast exchange. And I was so 16 00:01:07,440 --> 00:01:09,920 Speaker 1: delighted that we did that. And you came on my 17 00:01:09,959 --> 00:01:13,160 Speaker 1: podcast maybe six weeks or seven weeks ago. 18 00:01:13,600 --> 00:01:16,400 Speaker 2: Yeah. Cool. Now, so you're a background, you've been at 19 00:01:16,440 --> 00:01:21,680 Speaker 2: GP for twenty years. We are going to talk about diabetes, 20 00:01:21,760 --> 00:01:25,559 Speaker 2: metabolic syndrome, diet, maybe a little bit of breath work. 21 00:01:25,640 --> 00:01:30,360 Speaker 2: But I think first to introduce to people your own journey, 22 00:01:30,440 --> 00:01:33,000 Speaker 2: because I think this is pretty critical in the approach 23 00:01:33,040 --> 00:01:33,920 Speaker 2: that you take. Right. 24 00:01:34,480 --> 00:01:39,280 Speaker 1: Yeah, sure absolutely. I have had my kids. My kids 25 00:01:39,319 --> 00:01:42,560 Speaker 1: are now twelve and fifteen. So when they were growing 26 00:01:42,640 --> 00:01:45,680 Speaker 1: up and stopped becoming toddlers, I wanted to lose some 27 00:01:46,040 --> 00:01:49,480 Speaker 1: weight and gain health. I was a bit chubby, busy doctor, 28 00:01:49,960 --> 00:01:54,960 Speaker 1: I work almost full time and looking after kids. So 29 00:01:55,040 --> 00:01:57,320 Speaker 1: I looked at the local gym and joined the gym, 30 00:01:58,080 --> 00:02:01,480 Speaker 1: and I wanted to get fit. After a few weeks 31 00:02:01,600 --> 00:02:05,040 Speaker 1: nothing worked, a patient came in to see me in 32 00:02:05,120 --> 00:02:08,480 Speaker 1: a normal consultation and looked at me and noticed I 33 00:02:08,560 --> 00:02:11,000 Speaker 1: was bit chubby and asked me if I was having 34 00:02:11,040 --> 00:02:13,600 Speaker 1: another baby. Actually I wasn't. 35 00:02:14,520 --> 00:02:17,720 Speaker 2: Wow, So, as. 36 00:02:17,600 --> 00:02:20,639 Speaker 1: To my devastation, I worked harder at the gimm and 37 00:02:20,840 --> 00:02:24,200 Speaker 1: then I joined an eight week body transformation challenge at 38 00:02:24,200 --> 00:02:27,600 Speaker 1: the local gym just to have fun and see what 39 00:02:27,760 --> 00:02:31,600 Speaker 1: it's like. And the personal trainer actually prescribed me a 40 00:02:31,600 --> 00:02:35,959 Speaker 1: diet on a spreadsheet measuring the amount of protein, amount 41 00:02:36,000 --> 00:02:39,360 Speaker 1: of carps, and fat, and that was actually a lower 42 00:02:39,400 --> 00:02:43,079 Speaker 1: carb diet. I lost four percent body fat and four 43 00:02:43,160 --> 00:02:47,359 Speaker 1: kilo in weight and I'm a small pet Chinese, which. 44 00:02:47,760 --> 00:02:52,200 Speaker 2: Yes, that's significant, right, Yeah, particularly at weeks. 45 00:02:52,760 --> 00:02:56,720 Speaker 1: Absolutely. Yes, my mother is actually a type two diabetics, 46 00:02:56,720 --> 00:02:58,960 Speaker 1: so I've got a family history of type two diabetes, 47 00:02:59,000 --> 00:03:01,760 Speaker 1: even though where it's small and partic and she's not 48 00:03:01,880 --> 00:03:06,760 Speaker 1: overweight either. So I was very pleased at the low 49 00:03:06,800 --> 00:03:11,120 Speaker 1: carb diet and getting into gytosis that I helped me 50 00:03:11,240 --> 00:03:14,040 Speaker 1: lose weight, and I gained some source on the body 51 00:03:14,720 --> 00:03:18,760 Speaker 1: scan as well. I learned to be more from many 52 00:03:18,880 --> 00:03:23,360 Speaker 1: places to low carp down under a nutrition network, and 53 00:03:23,480 --> 00:03:27,120 Speaker 1: I learned how to prescribe low carb nutrition, the signs 54 00:03:27,160 --> 00:03:32,120 Speaker 1: behind it, and therapeutic carbohydrate restriction as a therapy to 55 00:03:32,280 --> 00:03:36,600 Speaker 1: patients to help people lose weight gain health and actually 56 00:03:37,560 --> 00:03:41,720 Speaker 1: works on lots of medical conditions as well. So I 57 00:03:41,840 --> 00:03:44,880 Speaker 1: keep learning and there was COVID and clinic was quiet, 58 00:03:45,440 --> 00:03:50,120 Speaker 1: lots of online courses, connected with many like minded low 59 00:03:50,160 --> 00:03:55,280 Speaker 1: carp colleagues, and it opened me up to an amazing 60 00:03:55,440 --> 00:03:59,160 Speaker 1: journey on how to prescribe low carp, how to do 61 00:03:59,240 --> 00:04:03,800 Speaker 1: it effectively and the science behind it. And two years 62 00:04:03,840 --> 00:04:09,000 Speaker 1: ago I branded myself to start up this locub can 63 00:04:09,040 --> 00:04:12,120 Speaker 1: he called Melbourne Low cup can it and again it 64 00:04:12,640 --> 00:04:16,440 Speaker 1: opened me up even more to more people connected to 65 00:04:16,480 --> 00:04:21,120 Speaker 1: the space and people stick me out to learn how 66 00:04:21,120 --> 00:04:23,479 Speaker 1: to do low carb and some people look at me 67 00:04:23,600 --> 00:04:28,320 Speaker 1: to look at blood tests differently than the normal doctor. Yeah, 68 00:04:28,400 --> 00:04:31,480 Speaker 1: so's been amazing. Is over and I'm going to keep 69 00:04:31,520 --> 00:04:32,520 Speaker 1: going with this journey. 70 00:04:32,839 --> 00:04:37,239 Speaker 2: Were you concerned at any stage because of what happened 71 00:04:37,279 --> 00:04:40,919 Speaker 2: to Gary Frakker? Doctor Gary Fraker, So just for the 72 00:04:41,040 --> 00:04:45,520 Speaker 2: listeners who will probably not be aware of this, he 73 00:04:45,600 --> 00:04:49,159 Speaker 2: was a Tasmanian doctor and now I'm this is I'm 74 00:04:49,160 --> 00:04:51,400 Speaker 2: going from memory, so you can jump in at any stage. 75 00:04:51,400 --> 00:04:55,760 Speaker 2: But he was prescribing a low carb diet. I'm not 76 00:04:55,800 --> 00:04:59,479 Speaker 2: sure if it was low carb just low carb, high fat, 77 00:04:59,520 --> 00:05:02,039 Speaker 2: but it was certain a low carb diet and to 78 00:05:02,120 --> 00:05:06,240 Speaker 2: his patients with diabetes and getting success. But then he 79 00:05:06,360 --> 00:05:10,599 Speaker 2: got reported by somebody, and I'm pretty sure he got 80 00:05:10,760 --> 00:05:15,920 Speaker 2: struck off or suspended by the Australian Opera, which is. 81 00:05:15,880 --> 00:05:19,240 Speaker 1: The medical it was an equivalent to the Medical. 82 00:05:18,880 --> 00:05:24,720 Speaker 2: Board, and basically said that that he was working outside 83 00:05:24,760 --> 00:05:28,760 Speaker 2: of his professional practice. You know, they diabetes people jumped 84 00:05:28,760 --> 00:05:32,440 Speaker 2: all over this because they had typically prescribed a high 85 00:05:32,520 --> 00:05:35,560 Speaker 2: carbohydrate but low GI diet right and this was the 86 00:05:35,640 --> 00:05:39,680 Speaker 2: time when all the controversy was going on, and actually 87 00:05:40,240 --> 00:05:44,360 Speaker 2: when you look under the weeds of that one, there 88 00:05:44,360 --> 00:05:48,599 Speaker 2: were kind of dark forces, including big food, who were 89 00:05:48,680 --> 00:05:51,760 Speaker 2: going after him, right, and he ended up I'm pretty 90 00:05:51,800 --> 00:05:54,600 Speaker 2: sure he got suspended for a while, but then he 91 00:05:54,800 --> 00:06:00,800 Speaker 2: quite recently got an apology from the Australian Medicals or 92 00:06:00,839 --> 00:06:04,760 Speaker 2: whatever the body was. So were you concerned where did 93 00:06:04,760 --> 00:06:08,080 Speaker 2: the timeline, Does it crossover whenever you started or was 94 00:06:08,080 --> 00:06:11,240 Speaker 2: that had that kind of all blown over at that stage? 95 00:06:11,720 --> 00:06:14,920 Speaker 1: Yeah, yeah, I know the story. I think he did 96 00:06:14,960 --> 00:06:17,560 Speaker 1: this quite a few years ago, and it was the 97 00:06:17,640 --> 00:06:21,640 Speaker 1: dieticians in the hospital who reported him because it was 98 00:06:21,760 --> 00:06:26,680 Speaker 1: advising the patients in the hospital, which because it was 99 00:06:26,720 --> 00:06:30,320 Speaker 1: chopping feet and legs of diabetic patients. He doesn't want 100 00:06:30,360 --> 00:06:33,880 Speaker 1: to chop feet and toes off anymore. So the dieticians 101 00:06:33,880 --> 00:06:38,200 Speaker 1: in the hospital reported him and he did get suspended. 102 00:06:38,279 --> 00:06:42,360 Speaker 1: But now he's reprimanded it, he's fine, he's going okay. 103 00:06:42,920 --> 00:06:45,560 Speaker 1: And that was way before I started. So I actually 104 00:06:45,600 --> 00:06:49,280 Speaker 1: listened to his talk in twenty nineteen before I started 105 00:06:49,320 --> 00:06:54,479 Speaker 1: prescribing low cup, and he was apologized and justified, and 106 00:06:54,680 --> 00:06:58,560 Speaker 1: he kept advocating low cup even before I started in 107 00:06:58,640 --> 00:06:59,400 Speaker 1: twenty nineteen. 108 00:07:00,240 --> 00:07:02,640 Speaker 2: Cool, So that had blown over, so there wasn't any 109 00:07:03,360 --> 00:07:09,200 Speaker 2: issues massive issues. So let's talk about diabetes in general, 110 00:07:09,240 --> 00:07:11,760 Speaker 2: and I do want to talk about metabolic syndrome because 111 00:07:11,760 --> 00:07:15,960 Speaker 2: they're obviously pretty closely linked. So just I think we 112 00:07:16,000 --> 00:07:18,720 Speaker 2: need to be careful here and make sure we make 113 00:07:18,800 --> 00:07:22,840 Speaker 2: a very clear distinction between type one and type two diabetes, 114 00:07:22,880 --> 00:07:26,000 Speaker 2: and then there's gestational diabetes. So talk to us about 115 00:07:26,360 --> 00:07:29,640 Speaker 2: the difference between those two conditions. 116 00:07:30,200 --> 00:07:35,360 Speaker 1: Yeah. Sure. Type one diabetics are people that the pancreas 117 00:07:35,440 --> 00:07:39,160 Speaker 1: doesn't work, so they're lacking the insulin. The pancreas doesn't 118 00:07:39,160 --> 00:07:42,880 Speaker 1: make enough insulin quite often in kids, sometimes in adults. 119 00:07:43,080 --> 00:07:47,000 Speaker 1: It's an autoimmune condition. So these people really need the insulin, 120 00:07:47,120 --> 00:07:52,280 Speaker 1: and we will give them scribing insilin. The gestational diabetics 121 00:07:52,280 --> 00:07:57,320 Speaker 1: are the women who become incident resistant during their pregnancy. 122 00:07:58,160 --> 00:08:02,840 Speaker 1: Quite often the good tendency to be insulin resistant already, 123 00:08:03,680 --> 00:08:07,760 Speaker 1: and quite often after the pregnancy they would reverse and 124 00:08:07,920 --> 00:08:12,280 Speaker 1: become not diabetics anymore. But they've got fifty percent chance 125 00:08:12,320 --> 00:08:15,960 Speaker 1: in the rest of the lifetime to become type two diabetics, 126 00:08:15,960 --> 00:08:19,400 Speaker 1: so they've got much higher chance of becoming a diabetic, 127 00:08:20,120 --> 00:08:26,840 Speaker 1: whereas some type two diabetes is basically insulin resistance, so 128 00:08:26,880 --> 00:08:30,360 Speaker 1: your body is making more and more insulin to put 129 00:08:30,400 --> 00:08:35,199 Speaker 1: the glucos away, and you can actually test the insulin 130 00:08:35,280 --> 00:08:39,560 Speaker 1: in your bloodstream and find the high insulin because your 131 00:08:39,559 --> 00:08:44,160 Speaker 1: body's making so much insulin and not coping and the 132 00:08:44,360 --> 00:08:49,440 Speaker 1: blood glucose is high. And the step before type two 133 00:08:49,440 --> 00:08:53,959 Speaker 1: diabetes is metabodic syndrome. So before we recorded there was 134 00:08:54,120 --> 00:08:56,720 Speaker 1: we were talked about the statistics of metabotic syndrome. It's 135 00:08:56,760 --> 00:09:01,760 Speaker 1: actually really high to diagnose malabotic syndrome. The main thing 136 00:09:01,840 --> 00:09:06,640 Speaker 1: is belly fat, so if the patient has high belly fat, 137 00:09:07,000 --> 00:09:10,360 Speaker 1: but often is this metabodic syndrome, which. 138 00:09:10,120 --> 00:09:13,560 Speaker 2: Means and I'm sorry, I would just jump in because 139 00:09:14,240 --> 00:09:20,440 Speaker 2: different organizations describe it differently that which gets confusing. But 140 00:09:21,240 --> 00:09:23,079 Speaker 2: in Australia and I can't remember, and I know there's 141 00:09:23,080 --> 00:09:25,320 Speaker 2: different organizations in the States and then there's a World 142 00:09:25,320 --> 00:09:30,120 Speaker 2: Health Organization, But in Australia we use the three three 143 00:09:30,240 --> 00:09:33,920 Speaker 2: or more of five. So one you talked about central obesity, 144 00:09:34,360 --> 00:09:39,560 Speaker 2: then high high blood pressure, high track glycerides, low HDL 145 00:09:39,720 --> 00:09:44,160 Speaker 2: cholesterol that in brackets good cholesterol, and high fasting glucose. 146 00:09:44,240 --> 00:09:47,080 Speaker 2: So three but I think the point of it is 147 00:09:47,559 --> 00:09:52,719 Speaker 2: it's a cluster, isn't it. It's metabolism going wrong generally. 148 00:09:52,320 --> 00:09:55,040 Speaker 1: Absolutely, that's right. It will only need three out of 149 00:09:55,040 --> 00:10:00,000 Speaker 1: those five things to diagnose metapodic syndrome. When you have metabodoics, 150 00:10:00,440 --> 00:10:04,160 Speaker 1: your body isn't functioning properly. Your body is not burning 151 00:10:04,240 --> 00:10:09,200 Speaker 1: fuel properly, which also means the mitochondria it's not functioning properly. 152 00:10:09,040 --> 00:10:14,120 Speaker 2: And hence why we see huge complications for people with 153 00:10:14,280 --> 00:10:18,800 Speaker 2: metabolic syndrome, like not only do most of them either 154 00:10:18,840 --> 00:10:23,960 Speaker 2: have or go on to develop diabetes, but the increased 155 00:10:24,040 --> 00:10:29,520 Speaker 2: risk of cardiovascular disease, neurodegenerative diseases, some forms of cancer, 156 00:10:29,679 --> 00:10:32,280 Speaker 2: I mean, the chronic kidney disease. That the list is 157 00:10:32,320 --> 00:10:34,280 Speaker 2: pretty endless, isn't it that your. 158 00:10:34,240 --> 00:10:40,200 Speaker 1: Risks Absolutely yes, it's terrible with metaproduct syndrome. 159 00:10:40,240 --> 00:10:44,040 Speaker 2: And it's basically I think, like you said, the mitochondria 160 00:10:44,400 --> 00:10:48,160 Speaker 2: are really not functioning well. So they're the parts of 161 00:10:48,200 --> 00:10:51,800 Speaker 2: the cell that drive it's not only energy production, but 162 00:10:51,840 --> 00:10:54,000 Speaker 2: they actually do so many functions in the cell. I 163 00:10:54,080 --> 00:10:58,080 Speaker 2: think we've underplayed traditionally the mitochondria and what they do. 164 00:10:58,160 --> 00:11:00,640 Speaker 2: But the stats I mean Union. When you when you 165 00:11:00,760 --> 00:11:02,760 Speaker 2: quoted to me the American once, I nearly fell off 166 00:11:02,800 --> 00:11:07,920 Speaker 2: the chair. Right. So in Australia, the official number of 167 00:11:07,960 --> 00:11:11,120 Speaker 2: Australians with metabolic syndromes is thirty five percent, and it's 168 00:11:11,160 --> 00:11:15,640 Speaker 2: probably underreported, just like with diabetes. You know, they reckon. 169 00:11:15,640 --> 00:11:18,160 Speaker 2: There's what one point, I won a quarter a million 170 00:11:18,240 --> 00:11:22,000 Speaker 2: with type two diabetes, but about half a million who 171 00:11:22,800 --> 00:11:24,880 Speaker 2: I have it but don't know it right, And I 172 00:11:24,880 --> 00:11:28,040 Speaker 2: think there's probably something with metabolic syndrome. But tell me 173 00:11:28,160 --> 00:11:29,560 Speaker 2: the data from the States. 174 00:11:30,000 --> 00:11:32,840 Speaker 1: Yes, I always, yeah, I always look it up. And 175 00:11:33,720 --> 00:11:37,240 Speaker 1: in the hind Study, which is a national health and 176 00:11:37,320 --> 00:11:43,360 Speaker 1: nutrition study in twenty sixteen in America, eighty three percent 177 00:11:44,320 --> 00:11:49,360 Speaker 1: of Americans have metabolic syndrome, which means only seventeen percent 178 00:11:49,400 --> 00:11:50,800 Speaker 1: of Americans are healthy. 179 00:11:51,520 --> 00:11:58,040 Speaker 2: Jesus Christ, that is that Like that is just bonkers. 180 00:11:58,400 --> 00:12:01,360 Speaker 2: And I was looking at the actually and there's a 181 00:12:01,440 --> 00:12:05,000 Speaker 2: brilliant website and for our listeners for this as well. 182 00:12:05,000 --> 00:12:08,880 Speaker 2: It's called Our World in Data, and it just shows 183 00:12:09,400 --> 00:12:15,000 Speaker 2: is fantastic because they do visualizations of all sorts of 184 00:12:15,080 --> 00:12:17,280 Speaker 2: data and all sorts of health data from around the 185 00:12:17,320 --> 00:12:20,720 Speaker 2: world and they pull in World Health organization data, And 186 00:12:20,760 --> 00:12:24,400 Speaker 2: I was just looking at diabetes right, so in Australia 187 00:12:24,440 --> 00:12:26,520 Speaker 2: and they lump it together. I think in Australia, I 188 00:12:26,520 --> 00:12:29,320 Speaker 2: think there's five point six percent of type two diabetes 189 00:12:29,360 --> 00:12:31,480 Speaker 2: are one and a quarter million, and as we said, 190 00:12:31,600 --> 00:12:36,400 Speaker 2: a lot undiagnosed, but all diabetes inclean type one OZ 191 00:12:36,440 --> 00:12:38,760 Speaker 2: is six point four percent. UK and U seeing they're 192 00:12:38,800 --> 00:12:43,920 Speaker 2: very similar USA ten point seven percent with diabetes, Mexico 193 00:12:44,760 --> 00:12:49,240 Speaker 2: pretty much seventeen percent. Spain is the almost as bad 194 00:12:49,280 --> 00:12:53,040 Speaker 2: as the state's ten point three percent. And I suspect 195 00:12:53,440 --> 00:12:57,680 Speaker 2: I suspect that their eighteen patterns have got something to 196 00:12:57,760 --> 00:12:59,839 Speaker 2: do with that, the fact that they eat dinner le 197 00:13:00,160 --> 00:13:03,240 Speaker 2: tonight and might have something. But I was I was 198 00:13:03,280 --> 00:13:07,120 Speaker 2: actually quite surprised by Spain, Like, yeah, of all the 199 00:13:07,200 --> 00:13:10,680 Speaker 2: European countries, Spain is just out there. But wow, when 200 00:13:10,720 --> 00:13:15,240 Speaker 2: you look at Egypt twenty percent of the population it's 201 00:13:15,280 --> 00:13:18,440 Speaker 2: got diabetes, and then Pakistan thirty percent. 202 00:13:18,800 --> 00:13:22,200 Speaker 1: Yes, like that that's amast. 203 00:13:22,520 --> 00:13:28,240 Speaker 2: Unbelievable, isn't it. So talk to us about issues and 204 00:13:28,320 --> 00:13:34,040 Speaker 2: complications that both you will see in private practice, and 205 00:13:34,559 --> 00:13:37,280 Speaker 2: you know, what does the research tell us, what are 206 00:13:37,280 --> 00:13:38,600 Speaker 2: some of the issues and what are some of the 207 00:13:38,640 --> 00:13:42,600 Speaker 2: complications with both diabetes and metabolic syndrome, and you can 208 00:13:42,679 --> 00:13:43,840 Speaker 2: take those in any order. 209 00:13:44,400 --> 00:13:47,800 Speaker 1: Yeah, yeah, sure, Let's talk about metabolic syndrome first. So 210 00:13:47,920 --> 00:13:51,920 Speaker 1: these people, they are not quite diabetic yet according to 211 00:13:52,000 --> 00:13:55,040 Speaker 1: the black test diners as the HbA one is not 212 00:13:55,880 --> 00:13:59,800 Speaker 1: over six point five, but we can dignose it according 213 00:13:59,840 --> 00:14:03,640 Speaker 1: to the criteria, and quite often I would find a 214 00:14:03,840 --> 00:14:09,160 Speaker 1: high insulin and quite often they are not well. So 215 00:14:09,400 --> 00:14:14,040 Speaker 1: the blood test says they're okay, but they overweight, they're tired, 216 00:14:14,200 --> 00:14:18,440 Speaker 1: they're hungry. They have signs and metabotic syndrome, like they 217 00:14:18,480 --> 00:14:24,600 Speaker 1: have belly fat, they have frequent infections. They have skin 218 00:14:24,720 --> 00:14:28,160 Speaker 1: tags underneath their underarms and in certain areas of the body, 219 00:14:29,000 --> 00:14:33,240 Speaker 1: and they have dark patches underneath their arms. So there's 220 00:14:33,520 --> 00:14:36,280 Speaker 1: signs that we can tell that they have metabotic syndrome. 221 00:14:36,400 --> 00:14:40,320 Speaker 1: And quite often they just don't function properly in their 222 00:14:41,280 --> 00:14:43,680 Speaker 1: energy level. They're tired and hungry. 223 00:14:44,320 --> 00:14:46,280 Speaker 2: And are they sorry with just one thing on that 224 00:14:46,400 --> 00:14:49,880 Speaker 2: because you said that they're not yet often diabetic. I 225 00:14:49,960 --> 00:14:54,600 Speaker 2: remember talking to a medical researcher and she told me 226 00:14:54,840 --> 00:14:59,000 Speaker 2: that blood glucose is often the last thing to go 227 00:15:00,120 --> 00:15:02,920 Speaker 2: you'll see blood crasher issues, you'll see track glysterids, you'll 228 00:15:02,920 --> 00:15:06,520 Speaker 2: see belly fat, you'll see mitochondrial issues. And the very 229 00:15:06,640 --> 00:15:11,240 Speaker 2: last thing is blood sugar. And this gives people, I 230 00:15:11,400 --> 00:15:14,920 Speaker 2: think a bit of a safety blanket that is not 231 00:15:15,080 --> 00:15:17,760 Speaker 2: warranted because they kind of go, they get their blood tests, 232 00:15:17,840 --> 00:15:20,360 Speaker 2: go and they go, hey, well my blood sugar. I'm 233 00:15:20,400 --> 00:15:25,160 Speaker 2: not diabetic it, so I'm kind of okay. Whereast they're metabolically, 234 00:15:25,200 --> 00:15:27,280 Speaker 2: they're already falling apart, aren't they. 235 00:15:27,400 --> 00:15:32,000 Speaker 1: Absolutely. What happens is your insulin is making your body's 236 00:15:32,040 --> 00:15:35,200 Speaker 1: making more and more insulin to regulate the glue coose, 237 00:15:35,920 --> 00:15:39,520 Speaker 1: so the glucose is regulated and your body is managing. Okay. 238 00:15:40,040 --> 00:15:43,840 Speaker 1: Most doctors don't organize the blood tests called fasting insulin 239 00:15:44,320 --> 00:15:47,320 Speaker 1: and don't know what the insulin is doing. So the 240 00:15:47,360 --> 00:15:50,720 Speaker 1: blood glucose is managing fine under six. If it's five 241 00:15:50,760 --> 00:15:54,640 Speaker 1: point seven five point eight, it's borderline. But the doctor 242 00:15:54,680 --> 00:15:58,040 Speaker 1: says it's it's fine under six. And the HBO one 243 00:15:58,120 --> 00:16:02,480 Speaker 1: see is the average glucose over a three month period, 244 00:16:02,920 --> 00:16:06,080 Speaker 1: It's still fine because your average glucose is five point 245 00:16:06,240 --> 00:16:09,840 Speaker 1: seven five point eight during the day. So your normal 246 00:16:09,920 --> 00:16:14,480 Speaker 1: doctor will say you're not diabetes, you're managing fine. Your 247 00:16:14,600 --> 00:16:18,840 Speaker 1: fasting glucose is fine. Whereas I test the fasting insulin, 248 00:16:19,440 --> 00:16:25,280 Speaker 1: usually we want it ideally under seven or even under five. 249 00:16:25,960 --> 00:16:30,000 Speaker 1: Some people are testing it's ten or fifteen or even 250 00:16:30,080 --> 00:16:35,800 Speaker 1: up to thirty or sixty. So these people have made 251 00:16:35,880 --> 00:16:40,240 Speaker 1: their insulin so much to keep the glucose down and 252 00:16:40,280 --> 00:16:43,000 Speaker 1: they're just tipping on diabetes. 253 00:16:42,800 --> 00:16:46,040 Speaker 2: Okay, and they don't know it, and there's not really 254 00:16:46,080 --> 00:16:49,080 Speaker 2: the warning sign. So why is it that a lot 255 00:16:49,120 --> 00:16:53,680 Speaker 2: of jpps don't do the insulent test? Is it because 256 00:16:53,720 --> 00:16:56,720 Speaker 2: it's kind of non standard or are they just not 257 00:16:56,800 --> 00:16:57,800 Speaker 2: looking in the right place? 258 00:16:58,400 --> 00:17:00,800 Speaker 1: That's right. Yeah, when we were never taughty medical school 259 00:17:00,840 --> 00:17:05,280 Speaker 1: to organize these texts. And there's also a trouble that 260 00:17:05,520 --> 00:17:09,040 Speaker 1: in Australia if you organize too many blood tests and 261 00:17:09,200 --> 00:17:12,080 Speaker 1: the Medicare we get told off and because of the 262 00:17:12,080 --> 00:17:17,680 Speaker 1: funding issues. Yes, so we're very careful on organizing only 263 00:17:17,720 --> 00:17:21,240 Speaker 1: the blood tests that we have been taught to organize 264 00:17:21,359 --> 00:17:24,120 Speaker 1: and not do too many and get into trouble with Medicare. 265 00:17:25,920 --> 00:17:30,080 Speaker 2: That's an issue, isn't it. Because if somebody is on 266 00:17:30,119 --> 00:17:33,240 Speaker 2: the face of it not diabetic, but you test their 267 00:17:33,280 --> 00:17:36,800 Speaker 2: insulin and you can see their insulance going crazy, and 268 00:17:37,000 --> 00:17:40,800 Speaker 2: you know that diabetes is around the corner. It is 269 00:17:41,200 --> 00:17:45,080 Speaker 2: so much more effective to intervene right there and then 270 00:17:46,000 --> 00:17:50,240 Speaker 2: rather than waiting until that number text over to diabetes. 271 00:17:50,840 --> 00:17:54,280 Speaker 1: Absolutely, yes, so the diabetes. The number that ticking over 272 00:17:54,320 --> 00:17:58,840 Speaker 1: diabetes is HBO ones is six point five. We actually 273 00:17:58,840 --> 00:18:02,480 Speaker 1: should start wanting people when HbA one sees over five 274 00:18:02,520 --> 00:18:07,160 Speaker 1: point seven, that is actually a diagnosis of pre diabetes. Right, 275 00:18:07,200 --> 00:18:12,000 Speaker 1: And there's some low car big name professionals like Tim 276 00:18:12,119 --> 00:18:15,359 Speaker 1: Notes actually suggests we should really aim HbA one s 277 00:18:15,640 --> 00:18:18,560 Speaker 1: much lower than that, to less than five point five 278 00:18:18,680 --> 00:18:22,119 Speaker 1: or five point four, which I think it's it's quite difficult, 279 00:18:22,600 --> 00:18:26,600 Speaker 1: but just to warn people that HbA one cee going 280 00:18:26,640 --> 00:18:32,240 Speaker 1: over to six point five, it's quite advanced and there's 281 00:18:32,359 --> 00:18:36,080 Speaker 1: damage just done already to small vesse complications. 282 00:18:36,160 --> 00:18:39,200 Speaker 2: I think this is the thing avi that people don't 283 00:18:39,240 --> 00:18:43,920 Speaker 2: realize is the damage that is happening underneath the hood 284 00:18:44,440 --> 00:18:49,280 Speaker 2: to thebolism. Like with that constant high end chillin. It 285 00:18:49,440 --> 00:18:53,280 Speaker 2: drives inflammation at a cellular level. As you say, it 286 00:18:53,640 --> 00:18:58,000 Speaker 2: impacts on your mitochondria in your clles. You know what 287 00:18:58,119 --> 00:19:01,040 Speaker 2: if I was the czarre of the universe. I WI 288 00:19:01,720 --> 00:19:06,440 Speaker 2: make everybody sit down and really understand their mitochondria, understand 289 00:19:06,520 --> 00:19:09,440 Speaker 2: what they do, the implications in health and how to 290 00:19:09,640 --> 00:19:13,960 Speaker 2: have healthy mitochondriac because once your mitochondria go, you're starting 291 00:19:14,000 --> 00:19:15,800 Speaker 2: to fall apart at a cllular level, right. 292 00:19:16,320 --> 00:19:20,640 Speaker 1: Absolutely. The other thing with high incident is, as you said, 293 00:19:20,680 --> 00:19:25,040 Speaker 1: it's highly inflammatory. It gives inflammation your body inflammation, so 294 00:19:25,080 --> 00:19:30,600 Speaker 1: there's aggs and pains and frequent infections. An insulin also 295 00:19:30,920 --> 00:19:36,800 Speaker 1: feeds into cancer, so if there's activity or the cell's 296 00:19:36,880 --> 00:19:40,640 Speaker 1: not working properly, we can increase cancer growth with high insulin. 297 00:19:41,000 --> 00:19:44,159 Speaker 1: And then you have high instillent and high glucose that 298 00:19:44,359 --> 00:19:47,880 Speaker 1: really increases your chance of cancer. And lots of other 299 00:19:48,480 --> 00:19:56,240 Speaker 1: conditions Alzheimer's disease, even mental health conditions depression, anxiety, schizophrenia, bipolar, 300 00:19:56,400 --> 00:19:58,879 Speaker 1: all those conditions as well. 301 00:19:59,040 --> 00:20:01,720 Speaker 2: And why do we I said, I want to come back, 302 00:20:01,880 --> 00:20:03,960 Speaker 2: there's a couple of things I want to double click 303 00:20:04,000 --> 00:20:07,080 Speaker 2: on actually, and before we do it, I just want 304 00:20:07,160 --> 00:20:09,920 Speaker 2: to mention Tim Nooks because I nearly did a Pah 305 00:20:09,960 --> 00:20:14,800 Speaker 2: Steve with Tim Nooks. So he's a legendary professor from 306 00:20:14,800 --> 00:20:19,760 Speaker 2: South Africa, like huge in the sports science world. Absolutely massive, 307 00:20:19,920 --> 00:20:24,399 Speaker 2: wrote the best selling book ever on exercise or running 308 00:20:24,400 --> 00:20:27,879 Speaker 2: called The Lower of Running, and done bucket loads of 309 00:20:27,920 --> 00:20:33,120 Speaker 2: research on high carbohydrate improving sports performance. Right, So he's 310 00:20:33,160 --> 00:20:36,760 Speaker 2: a legend in that field. And I saw him talk 311 00:20:36,880 --> 00:20:40,280 Speaker 2: at the first Low carb Conference and he held up 312 00:20:40,280 --> 00:20:43,240 Speaker 2: his book The Lower of Running and he said, anybody's 313 00:20:43,280 --> 00:20:45,800 Speaker 2: ever read this book, which is the best selling book 314 00:20:45,840 --> 00:20:50,399 Speaker 2: around exercise ever. I apologize, I've got it wrong. I 315 00:20:50,520 --> 00:20:54,640 Speaker 2: gave many of my athletes diabetes and I give myself diabetes. 316 00:20:54,800 --> 00:21:00,240 Speaker 2: And you cannot outrun a bad diet. And I was like, what, Wow. 317 00:21:00,760 --> 00:21:04,239 Speaker 2: And it's just a little aside for people who do 318 00:21:04,359 --> 00:21:07,880 Speaker 2: lots of exercise and are taking lots of sports strengths 319 00:21:07,880 --> 00:21:12,680 Speaker 2: and stuff like that, just to be have Tim Noaks's 320 00:21:12,720 --> 00:21:16,320 Speaker 2: words in your head. You cannot out run a bad diet. Right. 321 00:21:16,320 --> 00:21:18,120 Speaker 2: So I just wanted to throw that one in there. 322 00:21:18,200 --> 00:21:21,480 Speaker 2: But let's know, I want to double click on two things, 323 00:21:21,880 --> 00:21:25,760 Speaker 2: the mental health that you talked about and Alzheimer's disease. 324 00:21:26,480 --> 00:21:31,919 Speaker 2: So do we know what is causing the mental health 325 00:21:32,000 --> 00:21:35,720 Speaker 2: issue that we see with people with metabolic syndrome and 326 00:21:35,760 --> 00:21:40,719 Speaker 2: type two diabetes? Is it mitochondrial It is there just 327 00:21:40,760 --> 00:21:43,399 Speaker 2: some pathway that we're not quite sure of yet. 328 00:21:43,640 --> 00:21:47,159 Speaker 1: Yeah. The theory we worked on with mental health previously 329 00:21:47,359 --> 00:21:53,919 Speaker 1: is neurochemicals imbalance, which which there's a lot of science 330 00:21:53,960 --> 00:21:56,000 Speaker 1: saying that it might not be the case. 331 00:21:56,240 --> 00:21:59,520 Speaker 2: It's pooch, it's poocha. 332 00:22:00,720 --> 00:22:04,239 Speaker 1: That is mental health conditions is actually a combination of 333 00:22:04,480 --> 00:22:10,440 Speaker 1: inflammation and your brain not getting enough fuel. There's a 334 00:22:10,480 --> 00:22:14,600 Speaker 1: psychiatrist called Chris Palmer wrote the book Brain Energy saying 335 00:22:14,920 --> 00:22:20,400 Speaker 1: most of the mental health conditions like schizophrenia, depression, bipolar anxiety, 336 00:22:20,920 --> 00:22:25,080 Speaker 1: is because of lack of fuel the brain, probably causing 337 00:22:25,320 --> 00:22:29,400 Speaker 1: lack of mitochondria function. So the mitochondry is not functioning properly. 338 00:22:30,000 --> 00:22:35,360 Speaker 1: Combined with inflammation and high blood coast levels, maybe not 339 00:22:35,800 --> 00:22:40,359 Speaker 1: eating enough good foods, maybe not enough exercise, sanentary lifestyle, 340 00:22:41,000 --> 00:22:44,320 Speaker 1: all those things combined can really increase the risk of 341 00:22:44,400 --> 00:22:45,840 Speaker 1: mental health conditions. 342 00:22:46,320 --> 00:22:48,919 Speaker 2: Yeah. I've read that book by Christian Palmer and it 343 00:22:49,040 --> 00:22:53,080 Speaker 2: is absolutely brilliantly so Harvard psychiatrist, isn't it And it's 344 00:22:53,119 --> 00:22:56,280 Speaker 2: basically your mitochondria are not functioning. 345 00:22:55,840 --> 00:22:57,040 Speaker 1: Well, that's right. 346 00:22:57,160 --> 00:23:01,320 Speaker 2: Yeah, Yeah, And then let's then to talk about Alzheimer's 347 00:23:01,400 --> 00:23:06,520 Speaker 2: disease and dimension general. I mean, I remember fifteen years 348 00:23:06,520 --> 00:23:11,800 Speaker 2: ago reading a research paper calling Alzheimer's disease type three diabetes. Right, 349 00:23:11,880 --> 00:23:17,160 Speaker 2: So talk us through the links there with neurotrageneric diseases 350 00:23:17,160 --> 00:23:19,320 Speaker 2: in particularly yesh. Yeah. 351 00:23:19,440 --> 00:23:21,520 Speaker 1: What happens is if you have diabetes, you've got much 352 00:23:21,560 --> 00:23:25,720 Speaker 1: higher chance of having Alzheimer's disease. And as you said, 353 00:23:25,880 --> 00:23:30,280 Speaker 1: we're now linking Alzheimer's disease as we're calling it type 354 00:23:30,280 --> 00:23:35,720 Speaker 1: three diabetes because the blood isn't getting enough glucose into 355 00:23:35,880 --> 00:23:39,840 Speaker 1: the brain. What happens is the glucose is difficult to 356 00:23:39,960 --> 00:23:45,040 Speaker 1: cross the blood brain barrier, especially in high and thin environments. 357 00:23:45,320 --> 00:23:48,879 Speaker 1: So your brain is actually not getting enough fuel in 358 00:23:49,000 --> 00:23:52,679 Speaker 1: terms of the glucose, and that's why your brain is 359 00:23:52,720 --> 00:23:59,080 Speaker 1: starving and not functioning properly. When we switch these Alzheimer's 360 00:23:59,119 --> 00:24:02,280 Speaker 1: people into a phuogenic diet or even just giving them 361 00:24:02,520 --> 00:24:08,040 Speaker 1: exogynous key tones, then we can actually feel them feel 362 00:24:08,080 --> 00:24:11,400 Speaker 1: the brain in a different way and they get alternative fiel. 363 00:24:11,440 --> 00:24:14,000 Speaker 1: They actually feel much better even if they don't go 364 00:24:14,200 --> 00:24:18,399 Speaker 1: on the low carb ketogenic diet. Giving them exogrenous extra 365 00:24:18,600 --> 00:24:20,760 Speaker 1: key tones can help the brain function better. 366 00:24:21,359 --> 00:24:23,680 Speaker 2: Yeah, And most people don't realize this that the brain 367 00:24:23,840 --> 00:24:28,720 Speaker 2: runs brilliantly on keytones, right. That actually is really effective. 368 00:24:28,760 --> 00:24:33,080 Speaker 2: And I have read papers of people getting dramatic improvement 369 00:24:33,160 --> 00:24:36,639 Speaker 2: in their symptoms when they go on a ketogenic diet 370 00:24:36,720 --> 00:24:40,320 Speaker 2: or as you say, just giving them exogenous keytones, so 371 00:24:40,400 --> 00:24:44,239 Speaker 2: that the brain on the mitochondria. Let's be clear on this, 372 00:24:44,600 --> 00:24:47,520 Speaker 2: the mino boundary are going, Ah, at last, we've got 373 00:24:47,520 --> 00:24:50,320 Speaker 2: some energy. Now we can start to work again. Right, 374 00:24:50,560 --> 00:24:54,680 Speaker 2: let's just if this isn't depressing enough for people, let's 375 00:24:54,720 --> 00:24:59,160 Speaker 2: go through just some of the complications that people have 376 00:24:59,240 --> 00:25:02,240 Speaker 2: with diabetes, because I find a lot of people who 377 00:25:02,280 --> 00:25:05,520 Speaker 2: have diabetes the kind of attitude was, oh, well, I'll 378 00:25:05,560 --> 00:25:08,200 Speaker 2: just go on the medication and that will manage it. 379 00:25:08,840 --> 00:25:12,120 Speaker 2: Talk about some of the complications as you get down 380 00:25:12,240 --> 00:25:15,560 Speaker 2: the track. I mean, you talked about Gary Fecker doing 381 00:25:15,600 --> 00:25:19,440 Speaker 2: lots of amputations. Talk about what happens to people's visions, 382 00:25:19,600 --> 00:25:22,760 Speaker 2: why the amputation, all the things that happen. 383 00:25:23,640 --> 00:25:25,679 Speaker 1: Yeah. So in medical school, we're taught to think of 384 00:25:26,359 --> 00:25:31,399 Speaker 1: big vessels and small vessels, macrovascular versus microvascular. So in 385 00:25:31,520 --> 00:25:33,919 Speaker 1: terms of big vessels, you can get heart attacks, you 386 00:25:33,920 --> 00:25:37,679 Speaker 1: can get strokes, you can get blockages in the arteries 387 00:25:37,720 --> 00:25:41,320 Speaker 1: going down to the legs, and then that causes diabetic feet. 388 00:25:42,400 --> 00:25:46,560 Speaker 1: So lots of big vessels problems, complications with blocked arteries, 389 00:25:47,040 --> 00:25:51,280 Speaker 1: and then there's small vessels problems such as blocking the 390 00:25:51,320 --> 00:25:53,919 Speaker 1: small vessels in wall feet and of course gangreine and 391 00:25:53,960 --> 00:25:58,800 Speaker 1: the feet losing toes, losing feet on our legs as well, 392 00:25:59,280 --> 00:26:02,560 Speaker 1: and then there's the small possels in the eyes. Going blind. 393 00:26:03,280 --> 00:26:06,680 Speaker 1: There's small vessels in the kidney, so people are going 394 00:26:07,119 --> 00:26:12,359 Speaker 1: losing their kidney function and needing kidney dialysis analysis. Yes, 395 00:26:13,080 --> 00:26:18,120 Speaker 1: so with regards to the eyes, going blind isn't very fun. 396 00:26:18,359 --> 00:26:21,040 Speaker 1: There's a doctor called James Muki. He's the Australian of 397 00:26:21,080 --> 00:26:24,199 Speaker 1: the Year in twenty twenty. He is an ophthalmologist and 398 00:26:24,240 --> 00:26:27,800 Speaker 1: he learned about low carb and telling his patients that 399 00:26:27,920 --> 00:26:30,960 Speaker 1: diabetes can be improved but just by going low carb 400 00:26:31,080 --> 00:26:35,479 Speaker 1: quito and he's helped people with gaining their eyesight and 401 00:26:35,520 --> 00:26:36,880 Speaker 1: doing most less. 402 00:26:37,160 --> 00:26:40,760 Speaker 2: I ran about him. He was restoring vasion in people 403 00:26:40,760 --> 00:26:45,320 Speaker 2: who are going blind with diabetes, wasn't he. 404 00:26:45,320 --> 00:26:47,040 Speaker 1: He's doing a lot of work in the low car 405 00:26:47,119 --> 00:26:51,400 Speaker 1: space and trying to approach the Parliament on implementing increasing 406 00:26:51,440 --> 00:26:56,640 Speaker 1: the awareness of low carb diets, especially in diabetics. So, yeah, 407 00:26:56,640 --> 00:26:58,840 Speaker 1: he was Australian of the Year twenty twenty, which was 408 00:26:58,960 --> 00:27:02,800 Speaker 1: unfortunate in that, yeah, because that was locked down and 409 00:27:02,920 --> 00:27:06,520 Speaker 1: he organized a lot of talks around Australia, but he 410 00:27:06,520 --> 00:27:09,480 Speaker 1: couldn't do it because we've blocked ourselves. 411 00:27:09,119 --> 00:27:13,879 Speaker 2: Down right, Okay, And that's pretty amazing, right that you 412 00:27:13,960 --> 00:27:18,479 Speaker 2: can reverse people going blind just by changing their diet. 413 00:27:18,880 --> 00:27:22,480 Speaker 2: When you look at the data, right, when you put 414 00:27:22,560 --> 00:27:28,200 Speaker 2: up low carb versus low fat diets in the management 415 00:27:28,240 --> 00:27:32,280 Speaker 2: of diabetes, low carb consistently comes out on top, and 416 00:27:32,640 --> 00:27:36,760 Speaker 2: a chidogenic diet can be very very effective. Why is 417 00:27:36,800 --> 00:27:45,679 Speaker 2: there still such resistance amongst medical people, both doctors and dietitians, 418 00:27:44,920 --> 00:27:48,160 Speaker 2: and such resistance like it is? I don't think there's 419 00:27:48,200 --> 00:27:53,720 Speaker 2: anything in medicine that is so emotional as well. What's 420 00:27:53,800 --> 00:27:55,800 Speaker 2: going on do you think here? Yeah? 421 00:27:55,880 --> 00:27:59,000 Speaker 1: I think there's lots of things going on. There's a 422 00:27:59,000 --> 00:28:03,680 Speaker 1: big combination of different forces. Some people think low cup 423 00:28:04,000 --> 00:28:06,720 Speaker 1: means high fat, you're eating lots of saturated fat. And 424 00:28:06,760 --> 00:28:10,600 Speaker 1: then there's doctors worried that the high fat can increase 425 00:28:10,600 --> 00:28:15,479 Speaker 1: your cholesterol and clog your arteries, and that's not healthy. 426 00:28:15,520 --> 00:28:19,560 Speaker 1: It's in flammatory, which is actually low cup klogenic die 427 00:28:19,680 --> 00:28:23,960 Speaker 1: is actually highly inflamatory. So I think there's a worry 428 00:28:24,000 --> 00:28:27,120 Speaker 1: about the high fat, and then some people worry about 429 00:28:27,119 --> 00:28:30,640 Speaker 1: the high protein increasing uni risk of kidney disease, which 430 00:28:30,680 --> 00:28:36,439 Speaker 1: again it's not true. And then there's people really can't 431 00:28:36,680 --> 00:28:39,240 Speaker 1: get let go of their carbohydrates because it's so youngy 432 00:28:39,240 --> 00:28:43,280 Speaker 1: and addictive, So the doctors can't let go their diet 433 00:28:43,440 --> 00:28:46,520 Speaker 1: dietary preferences. They have to eat their cups, and then 434 00:28:46,560 --> 00:28:49,720 Speaker 1: they don't want to implement this to the patients, and 435 00:28:49,760 --> 00:28:53,520 Speaker 1: they say it's not sustainable because they can't sustain it themselves, 436 00:28:54,600 --> 00:28:57,080 Speaker 1: and then haven't looked into the science into it. 437 00:28:58,240 --> 00:29:01,880 Speaker 2: Yeah, I was just to throw in the political stuff 438 00:29:01,880 --> 00:29:05,160 Speaker 2: and the people who have their entire careers on it. 439 00:29:05,200 --> 00:29:09,280 Speaker 2: But I think we do need to recognize AVI here, 440 00:29:09,320 --> 00:29:11,960 Speaker 2: and you brought it up that there's a difference between 441 00:29:12,520 --> 00:29:16,160 Speaker 2: a low carbohydrate diet where lots of the nutrients are 442 00:29:16,360 --> 00:29:20,360 Speaker 2: replaced with protein, and stuff with the low carb high fat, 443 00:29:20,960 --> 00:29:25,000 Speaker 2: and particularly when that is saturated fat. So I think 444 00:29:25,040 --> 00:29:28,960 Speaker 2: some of the concerns are high amounts of saturated fat 445 00:29:29,360 --> 00:29:32,320 Speaker 2: can cause fatty liver disease, which can then drive into 446 00:29:32,480 --> 00:29:35,520 Speaker 2: in resistance. And it seems to be when you dig 447 00:29:35,560 --> 00:29:39,680 Speaker 2: into the research that there are genetics involved. Like any 448 00:29:39,800 --> 00:29:44,840 Speaker 2: nutritional study, this is the thing when people draw conclusions 449 00:29:44,880 --> 00:29:48,920 Speaker 2: on nutritional studies or any study, when they're talking about 450 00:29:48,960 --> 00:29:53,480 Speaker 2: the results, that's the average spread across everybody in the study. 451 00:29:54,200 --> 00:29:57,680 Speaker 2: It's really interesting when you look at research papers that 452 00:29:57,840 --> 00:30:02,200 Speaker 2: publish not only averages but the individual data, because you 453 00:30:02,240 --> 00:30:06,840 Speaker 2: will often see people doing extremely well and then others 454 00:30:07,040 --> 00:30:10,120 Speaker 2: not doing well on the same dieta or the CM intervention. 455 00:30:10,560 --> 00:30:14,800 Speaker 2: But when you average it out, there's a statistically significant improvement. 456 00:30:14,920 --> 00:30:18,560 Speaker 2: And that's really important for people to understand, isn't it 457 00:30:18,640 --> 00:30:23,680 Speaker 2: is that there are individual differences that are largely based 458 00:30:23,720 --> 00:30:27,760 Speaker 2: on your genetic makeup and your epigenum in all of this, right, So, 459 00:30:27,800 --> 00:30:32,560 Speaker 2: I think there's always nuance with the conversation, particularly when 460 00:30:32,560 --> 00:30:33,600 Speaker 2: we're talking about research. 461 00:30:34,320 --> 00:30:38,120 Speaker 1: Yeah. Absolutely. And there's a very latest study that came 462 00:30:38,120 --> 00:30:42,360 Speaker 1: out about diabetes increry. Low carbon interstring increases the risk 463 00:30:42,400 --> 00:30:45,160 Speaker 1: of diabetes. It's only in the last week or so 464 00:30:45,320 --> 00:30:47,920 Speaker 1: that's come out. I don't know if you've heard about study. 465 00:30:49,000 --> 00:30:51,520 Speaker 1: It's all over the low car world and the low 466 00:30:51,560 --> 00:30:56,320 Speaker 1: card world isn't really very happy about this study increasing 467 00:30:56,480 --> 00:31:01,360 Speaker 1: the risk of diabetes. What happens is they categorize these 468 00:31:02,000 --> 00:31:04,280 Speaker 1: in this study. They it was a big number. It 469 00:31:04,320 --> 00:31:10,200 Speaker 1: was in Melbourne, seventeen thousand participants over ten years. They 470 00:31:10,200 --> 00:31:15,160 Speaker 1: had five groups, and the low carb group wasn't actually 471 00:31:15,280 --> 00:31:22,040 Speaker 1: low carp. The dimitary cover hydreds constituted thirty seven thirty 472 00:31:22,080 --> 00:31:26,120 Speaker 1: eight percent of their calorie intake, which to the low 473 00:31:26,160 --> 00:31:28,720 Speaker 1: cup people it's actually not really low cups. 474 00:31:28,760 --> 00:31:30,840 Speaker 2: So most of us that's not low car. 475 00:31:31,120 --> 00:31:33,440 Speaker 1: Yeah, no, most of us would eat way less than 476 00:31:33,440 --> 00:31:37,320 Speaker 1: thirty eight percent of our calories. And to top that, 477 00:31:37,880 --> 00:31:41,600 Speaker 1: this group which they said is low carb group actually 478 00:31:41,640 --> 00:31:44,840 Speaker 1: started off with higher b and my higher waist accumpery 479 00:31:45,920 --> 00:31:52,400 Speaker 1: and they also had more ex smokers, more X alcohol drinkers, 480 00:31:52,640 --> 00:31:56,880 Speaker 1: and they based it on food frequency questionnaires, which is 481 00:31:57,200 --> 00:32:02,960 Speaker 1: highly unreliable. People don't really remember what they ate. So 482 00:32:03,040 --> 00:32:05,720 Speaker 1: there's a few doctors in the local world, including doctor 483 00:32:05,760 --> 00:32:10,120 Speaker 1: Paul Mason, that actually recorded in the low cup down 484 00:32:10,200 --> 00:32:12,960 Speaker 1: on the YouTube channel. People can go into that a 485 00:32:13,040 --> 00:32:17,200 Speaker 1: rebuttal on this study and we're actually signing a request 486 00:32:17,280 --> 00:32:22,160 Speaker 1: to withdraw this study from being published because it's it's 487 00:32:22,240 --> 00:32:25,000 Speaker 1: not reliable study and it's scaring people from low carb 488 00:32:25,080 --> 00:32:27,800 Speaker 1: diets for a treatment of diabetes. 489 00:32:28,440 --> 00:32:31,200 Speaker 2: Yeah. I know Paul Mis and I presented at him 490 00:32:31,200 --> 00:32:35,920 Speaker 2: with him at a conference. He's brilliant, brilliant doctor. As 491 00:32:35,960 --> 00:32:37,680 Speaker 2: you were saying that, if people could see me, I'm 492 00:32:37,760 --> 00:32:41,280 Speaker 2: just shaking my hand and just discuss because there's so 493 00:32:41,520 --> 00:32:45,160 Speaker 2: many studies that are getting published, particularly in the nutritional realm, 494 00:32:45,720 --> 00:32:49,880 Speaker 2: that when you look at the methodology, it is terrible. 495 00:32:50,320 --> 00:32:54,000 Speaker 2: And I if I was to try and put a 496 00:32:54,120 --> 00:32:58,400 Speaker 2: study like that under the noses of my PhD supervisors, 497 00:32:58,680 --> 00:33:03,040 Speaker 2: they would kick me out, like some of the stuff 498 00:33:03,120 --> 00:33:07,479 Speaker 2: high this is peer reviewed. I got no idea. And 499 00:33:07,520 --> 00:33:11,000 Speaker 2: but that's the important thing, isn't it is that this 500 00:33:11,320 --> 00:33:15,000 Speaker 2: These studies get published and then they get grabbed on. 501 00:33:15,160 --> 00:33:19,000 Speaker 2: There's headlines that are put on. Sometimes those headlines are 502 00:33:19,080 --> 00:33:21,400 Speaker 2: actually put out by the people who do the study, 503 00:33:21,440 --> 00:33:24,680 Speaker 2: who have a vested interest, right, and then the press 504 00:33:24,720 --> 00:33:27,080 Speaker 2: grabs on it and then it's all over the press, 505 00:33:27,320 --> 00:33:31,600 Speaker 2: and then it creates this panic. And then when somebody 506 00:33:31,640 --> 00:33:34,480 Speaker 2: like Paulmus another low card guys go oh, actually, there's 507 00:33:34,520 --> 00:33:37,560 Speaker 2: this flawed this flawed flow, this flaw, and then the 508 00:33:37,640 --> 00:33:41,280 Speaker 2: journal either corrects it or retracts it. You don't see 509 00:33:41,320 --> 00:33:43,960 Speaker 2: the headlines again going right, Oh, by the way, we 510 00:33:44,040 --> 00:33:45,920 Speaker 2: were wrong, so you're you're okay. 511 00:33:46,640 --> 00:33:48,320 Speaker 1: Or the other thing that Paul pointed out in this 512 00:33:48,400 --> 00:33:51,160 Speaker 1: study is they haven't taken into account the use of 513 00:33:51,240 --> 00:33:55,440 Speaker 1: seed oil vegetable oils. Right, so there's a high percentage 514 00:33:55,440 --> 00:34:00,200 Speaker 1: of poy unsaturated inflammatory transfer in those people. They they 515 00:34:00,200 --> 00:34:01,719 Speaker 1: don't regulate it in that study. 516 00:34:01,960 --> 00:34:06,760 Speaker 2: That's interesting. Okay, So let's talk about the diet that 517 00:34:07,160 --> 00:34:09,840 Speaker 2: you recommend for your patients. 518 00:34:10,480 --> 00:34:14,239 Speaker 1: Yeah, So I usually meet them where they're at. If 519 00:34:14,280 --> 00:34:16,719 Speaker 1: they have no idea about low carb at all, I 520 00:34:16,800 --> 00:34:19,840 Speaker 1: usually do just warn them about the dangers of sugar 521 00:34:19,920 --> 00:34:24,000 Speaker 1: and process foods. So to start them off, if they're 522 00:34:24,040 --> 00:34:26,279 Speaker 1: not ready to go low calp, I just get them 523 00:34:26,320 --> 00:34:28,560 Speaker 1: to get rid of sugar, get rid of process foods, 524 00:34:29,080 --> 00:34:34,200 Speaker 1: and even eliminating snacks in between meals, eating less frequent 525 00:34:34,280 --> 00:34:38,560 Speaker 1: intamin fasting That can quite often improve the insult level. 526 00:34:39,200 --> 00:34:42,799 Speaker 1: And if they're ready to learn more and dig into 527 00:34:42,840 --> 00:34:46,360 Speaker 1: a bit more, then I warn them that carbohydrates all 528 00:34:46,400 --> 00:34:50,399 Speaker 1: become sugar. They are all sugar, and your body can 529 00:34:50,440 --> 00:34:54,560 Speaker 1: only hold four gram of glucose at a time. Four 530 00:34:54,640 --> 00:34:58,680 Speaker 1: gram of glucose is one teaspoon, so if your bloodstream 531 00:34:59,000 --> 00:35:02,160 Speaker 1: has more than one tea spoon of bluecoase, then your 532 00:35:02,160 --> 00:35:06,680 Speaker 1: body will make more insulin to transport this glucose into 533 00:35:06,800 --> 00:35:10,919 Speaker 1: the fat cell and stoidess fat. So every time you 534 00:35:11,239 --> 00:35:14,720 Speaker 1: eat more than one teaspoon, then your body makes more insulin. 535 00:35:15,160 --> 00:35:19,000 Speaker 1: Then you become infilm resistant. So usually I tell them 536 00:35:19,040 --> 00:35:24,000 Speaker 1: about the science and warn them about the glucose, the sugar, 537 00:35:24,960 --> 00:35:30,399 Speaker 1: the jump food process foods, and the carbohydrates, and ask 538 00:35:30,440 --> 00:35:33,520 Speaker 1: them to reduce eating all of that and eat more 539 00:35:33,600 --> 00:35:39,560 Speaker 1: nutrient dense food like routine above ground veggies, especially if 540 00:35:39,560 --> 00:35:43,160 Speaker 1: they have signs of metabolic syndrome diabetes. The root veges 541 00:35:43,400 --> 00:35:48,680 Speaker 1: also increase gluecose level, so concentrate on above ground vigies 542 00:35:49,120 --> 00:35:55,279 Speaker 1: eating much less starchy veggies and even less fruit. One 543 00:35:55,320 --> 00:35:59,200 Speaker 1: of them that can improve their gluecose level their body 544 00:35:59,239 --> 00:36:05,080 Speaker 1: heels is a higher nutrient dense, protein rich, healthy fat 545 00:36:05,200 --> 00:36:09,400 Speaker 1: food and quite often they gain health, They get more energy, 546 00:36:09,520 --> 00:36:13,320 Speaker 1: they lose weight, and the men do it much better. 547 00:36:13,560 --> 00:36:17,200 Speaker 1: The ladies have lots more hormones and worries going on. 548 00:36:18,360 --> 00:36:21,120 Speaker 1: Usually the women come in and want to lose weight. 549 00:36:21,600 --> 00:36:24,000 Speaker 1: They put their husband into a low car dial without 550 00:36:24,040 --> 00:36:28,840 Speaker 1: really telling them. Their husband lose more weights and the 551 00:36:28,960 --> 00:36:31,719 Speaker 1: ladies lose a bit and they feel better, but the 552 00:36:31,800 --> 00:36:33,240 Speaker 1: husband doing much much better. 553 00:36:33,640 --> 00:36:36,239 Speaker 2: And men tend to do better on fasting as well. 554 00:36:36,280 --> 00:36:39,200 Speaker 2: Into mint and fasting as well. You know, it's just 555 00:36:39,480 --> 00:36:41,440 Speaker 2: it's just bloting easier for me. And a couple of 556 00:36:41,440 --> 00:36:43,600 Speaker 2: things I wanted to double click on. I want to 557 00:36:43,600 --> 00:36:46,080 Speaker 2: talk about the healthy fats in a second. But I 558 00:36:46,120 --> 00:36:49,319 Speaker 2: remember Grant school Field, Professor Grant school Field, and you 559 00:36:49,320 --> 00:36:51,360 Speaker 2: you will be aware of Grant. He's a big wheel 560 00:36:51,400 --> 00:36:53,879 Speaker 2: in the low card world. And I know Grunt very well. 561 00:36:53,880 --> 00:36:55,960 Speaker 2: He's been on this podcast quite a few times. But 562 00:36:56,200 --> 00:37:01,920 Speaker 2: remember him showing me a paper of a insulin responses 563 00:37:01,960 --> 00:37:07,920 Speaker 2: in glucose responses to patients eating lentils right, which are 564 00:37:08,680 --> 00:37:12,799 Speaker 2: wrecked things that are low GI carbohydrates and have been 565 00:37:12,840 --> 00:37:17,360 Speaker 2: recommended for years by diabetes educators. And what he showed 566 00:37:17,360 --> 00:37:20,319 Speaker 2: me in the study was there were people who had 567 00:37:20,520 --> 00:37:24,839 Speaker 2: normal blood sugar levels and normal insulin levels, and then 568 00:37:24,880 --> 00:37:29,879 Speaker 2: another group who were insulin resistant. They had diabetes, and 569 00:37:30,239 --> 00:37:35,760 Speaker 2: the blood sugar responses in those two groups was radically different. 570 00:37:36,600 --> 00:37:41,279 Speaker 2: That people who had normal metabolism, they had a very 571 00:37:41,320 --> 00:37:44,279 Speaker 2: slow increase in their blood sugar and it lasted for 572 00:37:44,320 --> 00:37:46,880 Speaker 2: a while and they and dropped. And that's what GI 573 00:37:46,960 --> 00:37:50,879 Speaker 2: carbohydrates do if you're metabolically healthy. But the people who 574 00:37:50,920 --> 00:37:55,839 Speaker 2: were insulin resistant, they had a massive spike in their 575 00:37:55,840 --> 00:38:01,120 Speaker 2: blood sugar and it persisted for rs. Right, And so 576 00:38:02,120 --> 00:38:07,840 Speaker 2: your response to carbohydrates is hugely different. Even low GI 577 00:38:07,920 --> 00:38:14,360 Speaker 2: carbohydrates can be hugely different, all depending on your insulin sensitivity. 578 00:38:14,600 --> 00:38:17,000 Speaker 2: And this is the thing. But he showed me how 579 00:38:17,040 --> 00:38:20,480 Speaker 2: many times said this should be the most cited research 580 00:38:20,600 --> 00:38:24,000 Speaker 2: paper in the world of diabetes, and it was hardly 581 00:38:24,040 --> 00:38:28,480 Speaker 2: ever cited. So people just ignore it because they have 582 00:38:28,600 --> 00:38:32,120 Speaker 2: their own their their own confirmation bias, and off they go. 583 00:38:32,320 --> 00:38:36,120 Speaker 2: But I mean, that's the thing, right, is a lot 584 00:38:36,200 --> 00:38:40,799 Speaker 2: of these diets are tested in healthy people and it's 585 00:38:40,920 --> 00:38:43,600 Speaker 2: very different when you put them on unhealthy people. And 586 00:38:43,640 --> 00:38:47,000 Speaker 2: that's where you've got to look at interventions with people 587 00:38:47,040 --> 00:38:50,759 Speaker 2: who have diabetes and insulin resistance. Right, Yeah, that's what's right, 588 00:38:51,160 --> 00:38:53,760 Speaker 2: That's where the low corp comes up. Now you seem 589 00:38:53,800 --> 00:38:57,480 Speaker 2: to be less of a proponent of a ketogenic diem, 590 00:38:57,560 --> 00:39:00,000 Speaker 2: particularly around the saturate in fact, So talk us through 591 00:39:00,120 --> 00:39:03,160 Speaker 2: what you're talking about with healthy fats. 592 00:39:03,440 --> 00:39:07,400 Speaker 1: Yeah, So I try to encourage patients to prioritize their 593 00:39:07,440 --> 00:39:11,040 Speaker 1: approachein fists and then add healthy fat. So when I 594 00:39:11,120 --> 00:39:16,759 Speaker 1: say healthy fat, our main things like avocado, nuts and seeds, 595 00:39:16,840 --> 00:39:22,680 Speaker 1: olive oil, even dairy in some people that can tolerate dairy, 596 00:39:22,560 --> 00:39:26,839 Speaker 1: they're good. And even the fat around the meat, it's 597 00:39:26,880 --> 00:39:30,040 Speaker 1: not just that saturated fat. There's a combination of all 598 00:39:30,160 --> 00:39:32,080 Speaker 1: fats in the fat around the meat as well. 599 00:39:32,600 --> 00:39:36,160 Speaker 2: Yeah, people don't realize this, do they. That meat has 600 00:39:36,239 --> 00:39:40,200 Speaker 2: got just the label that all the fat is saturated fat, 601 00:39:40,320 --> 00:39:42,640 Speaker 2: and particularly if it's grass fed meat. You look at 602 00:39:42,640 --> 00:39:46,239 Speaker 2: the fatty acid composition. There's a bit of saturated fat, 603 00:39:46,239 --> 00:39:49,560 Speaker 2: but there's monoon saturated fats in there, and there's even 604 00:39:49,600 --> 00:39:52,759 Speaker 2: a Mega three fatty acids in grass fed meat as well. 605 00:39:52,880 --> 00:39:55,640 Speaker 2: So it's it's not that all the fat and meat 606 00:39:55,680 --> 00:39:59,400 Speaker 2: is saturated. People think that, and yes, nothing could be 607 00:39:59,440 --> 00:40:01,319 Speaker 2: further from right. That's right. 608 00:40:01,400 --> 00:40:04,800 Speaker 1: Yeah, So the meat has been wrongly demonized for lots 609 00:40:04,800 --> 00:40:08,919 Speaker 1: of other reasons. But I think we really should think 610 00:40:08,960 --> 00:40:13,160 Speaker 1: about eating healthy meat. And when I say meat, it 611 00:40:13,200 --> 00:40:16,879 Speaker 1: includes chicken and fish and pork, lamb and eggs as well. 612 00:40:16,960 --> 00:40:21,120 Speaker 1: Animal food really should be prioritized for the reason of 613 00:40:21,520 --> 00:40:25,840 Speaker 1: good protein, healthy fat, and lots of other nutrients as well, 614 00:40:25,920 --> 00:40:29,800 Speaker 1: like be twelve and seen environment d which is included 615 00:40:29,840 --> 00:40:31,360 Speaker 1: in animal food as well. 616 00:40:31,719 --> 00:40:35,319 Speaker 2: Yeah, and Abby, you just basically described my diet for 617 00:40:35,360 --> 00:40:40,640 Speaker 2: the last probably decade and the reason that I don't 618 00:40:40,640 --> 00:40:43,320 Speaker 2: have a ketogenic diet and I don't react particularly well 619 00:40:43,360 --> 00:40:47,600 Speaker 2: to it, but I do much better on a high protein, 620 00:40:48,040 --> 00:40:52,360 Speaker 2: low carb diet with moderate amounts of fat and a 621 00:40:52,600 --> 00:40:54,920 Speaker 2: plenty of meat. I ate plenty of fish, a dirty 622 00:40:54,920 --> 00:40:57,120 Speaker 2: because I'm fine with it. I'm fine with yogurt and 623 00:40:57,160 --> 00:41:01,840 Speaker 2: those sorts of things. But I think protein is really 624 00:41:01,920 --> 00:41:05,520 Speaker 2: really important, and particularly as we eat. I mean, my 625 00:41:05,600 --> 00:41:08,760 Speaker 2: listeners will have heard me banging on about the importance 626 00:41:08,800 --> 00:41:12,280 Speaker 2: of protein, especially as we eat. But yeah, those mono 627 00:41:12,360 --> 00:41:17,480 Speaker 2: and saturated fats avocado are extraverrgin, olive oil, nuts and 628 00:41:17,520 --> 00:41:20,080 Speaker 2: seeds like, I have oodles of that stuff because I 629 00:41:20,080 --> 00:41:25,080 Speaker 2: don't think anybody would quibble about the health benefits of 630 00:41:25,120 --> 00:41:29,400 Speaker 2: both mono and saturated fats and Amiga three fats. The 631 00:41:29,520 --> 00:41:34,000 Speaker 2: fat wars are the Amiga six and the saturated fats. 632 00:41:34,040 --> 00:41:35,960 Speaker 2: That's where we get into the fat wars, isn't it. 633 00:41:36,560 --> 00:41:39,320 Speaker 1: Yeah, So the Omiga six is in the vegetable oil, 634 00:41:39,400 --> 00:41:45,080 Speaker 1: canola oil, some flower oil. The highly high in the 635 00:41:45,160 --> 00:41:49,480 Speaker 1: six are highly inflammatory and there's some studies showing that 636 00:41:49,560 --> 00:41:53,120 Speaker 1: they are the culprit of increasing risk of heart diseases 637 00:41:53,239 --> 00:41:56,960 Speaker 1: and inflammation in your body. So really should stay away 638 00:41:57,000 --> 00:41:57,359 Speaker 1: from that. 639 00:41:57,840 --> 00:42:01,640 Speaker 2: Yeah, and again lots of controvert seeing it. I definitely 640 00:42:01,760 --> 00:42:05,640 Speaker 2: side in your camp on that one. And I think 641 00:42:05,680 --> 00:42:08,600 Speaker 2: what a lot of people don't realize. I mean, let's 642 00:42:08,600 --> 00:42:12,960 Speaker 2: take a couple of steps back. The reason why these 643 00:42:12,960 --> 00:42:17,800 Speaker 2: oils were promoted goes way back to nineteen seventy seven 644 00:42:18,000 --> 00:42:21,799 Speaker 2: and the heart health hypothesis, right that saturated fat was 645 00:42:21,880 --> 00:42:24,400 Speaker 2: bad because it causes heart disease. And we know that 646 00:42:24,440 --> 00:42:28,200 Speaker 2: those studies were pretty flawed at the time, so they 647 00:42:28,280 --> 00:42:33,760 Speaker 2: started creating these alternatives that were by products from industries 648 00:42:33,800 --> 00:42:37,640 Speaker 2: that already existed, like all of those seeds that were created, 649 00:42:38,040 --> 00:42:41,480 Speaker 2: and then they created those seed oils. Again, if I 650 00:42:41,560 --> 00:42:44,600 Speaker 2: was Czar of the universe, I would have people go 651 00:42:44,719 --> 00:42:49,440 Speaker 2: in and see how they're actually produced. Yeah, because there's 652 00:42:49,600 --> 00:42:52,560 Speaker 2: high amounts of heat and chemicals that are used in 653 00:42:52,600 --> 00:42:57,000 Speaker 2: the production of these oils. And they're promoted because they 654 00:42:57,040 --> 00:42:59,640 Speaker 2: have a high smoke point. And I think this is 655 00:42:59,640 --> 00:43:03,080 Speaker 2: really important for our listeners to understand. That means they 656 00:43:03,200 --> 00:43:05,719 Speaker 2: don't or it has to be very high temperature food. 657 00:43:05,719 --> 00:43:08,360 Speaker 2: They turn into a trans fat, and everybody knows trans 658 00:43:08,360 --> 00:43:11,440 Speaker 2: fats are not good, and that's why they're promoted. But 659 00:43:12,440 --> 00:43:15,759 Speaker 2: and the Amiga six fat is unstable, and so as 660 00:43:15,760 --> 00:43:20,040 Speaker 2: soon as it's heated, it gives off toxic aldehydes, which 661 00:43:20,040 --> 00:43:24,520 Speaker 2: are highly inflammatory and carcinogenic. Right, And so by the 662 00:43:24,520 --> 00:43:27,480 Speaker 2: time you just get it in the bottle, it has 663 00:43:27,560 --> 00:43:30,080 Speaker 2: already been heat treated and had all sorts of chemical 664 00:43:30,200 --> 00:43:32,960 Speaker 2: shit storm in there already. Right. 665 00:43:33,160 --> 00:43:37,800 Speaker 1: Absolutely, Yeah, they actually propocess food. So I've just saying. 666 00:43:39,440 --> 00:43:44,920 Speaker 2: Low human influence, low human interference, and that's right. You know, 667 00:43:45,000 --> 00:43:48,840 Speaker 2: if you were able to see avocado oil, extra virgin 668 00:43:48,880 --> 00:43:52,520 Speaker 2: avocado oil, an extra virgin olive oil made versus how 669 00:43:52,640 --> 00:43:55,759 Speaker 2: these oils are made, I think people would just stop 670 00:43:55,760 --> 00:43:56,680 Speaker 2: buying them straight away. 671 00:43:57,239 --> 00:43:57,759 Speaker 1: That's right. 672 00:43:58,200 --> 00:44:01,960 Speaker 2: So talk to me about the results that you have 673 00:44:02,160 --> 00:44:04,160 Speaker 2: seen in your patients. 674 00:44:04,600 --> 00:44:08,000 Speaker 1: Yeah. Yeah, So since I've branded myself in my low 675 00:44:08,080 --> 00:44:11,400 Speaker 1: Carp cinque, the patients come in and they're ready to 676 00:44:11,480 --> 00:44:14,880 Speaker 1: do low carp already because they're paying me three hundred 677 00:44:14,920 --> 00:44:18,160 Speaker 1: dollars for a consultation. They're paying me money, they invested it, 678 00:44:18,200 --> 00:44:21,320 Speaker 1: they've invested the time. We'll spend forty five minutes talking 679 00:44:21,360 --> 00:44:26,399 Speaker 1: about how to do low carp and results are fantastic. 680 00:44:26,880 --> 00:44:31,720 Speaker 1: There's people that reverse their diabetes. Quite often. They come 681 00:44:31,760 --> 00:44:34,279 Speaker 1: in and they're newly ditknosed diabetes. The HbA one ce 682 00:44:34,680 --> 00:44:38,600 Speaker 1: could be seven and three months later I tested again 683 00:44:38,680 --> 00:44:43,000 Speaker 1: and quite often goes right down to five point seven 684 00:44:43,080 --> 00:44:43,960 Speaker 1: five point nine. 685 00:44:44,640 --> 00:44:45,160 Speaker 2: Wow. 686 00:44:45,200 --> 00:44:48,880 Speaker 1: And they lose weight. Not quickly, but they do lose weight. 687 00:44:48,960 --> 00:44:54,200 Speaker 1: Men might lose tanky low over three months and the 688 00:44:54,239 --> 00:44:58,759 Speaker 1: women maybe a few kilos over a few months. I've 689 00:44:58,800 --> 00:45:03,560 Speaker 1: had ladies who lose ten twenty heros over six to 690 00:45:03,560 --> 00:45:08,160 Speaker 1: twelve months, and they feel much better, They less bloated, 691 00:45:08,239 --> 00:45:12,120 Speaker 1: they feel more energy, that mental health is much better, 692 00:45:13,000 --> 00:45:17,840 Speaker 1: and it's so rewarding that they actually improve in their health. 693 00:45:18,120 --> 00:45:22,560 Speaker 1: They function better in themselves. It's just that it's difficult 694 00:45:22,640 --> 00:45:25,920 Speaker 1: in a high car world to keep going and sometimes 695 00:45:25,960 --> 00:45:31,359 Speaker 1: there's stress, sometimes there's going out and holidays. So it's 696 00:45:31,440 --> 00:45:33,960 Speaker 1: just they need some more support and they need to 697 00:45:34,320 --> 00:45:36,040 Speaker 1: if they go off track, they need to get back 698 00:45:36,080 --> 00:45:39,440 Speaker 1: on track. It can be difficult at some times. 699 00:45:39,680 --> 00:45:42,879 Speaker 2: Yeah, it is, and particularly if you're used to a 700 00:45:42,920 --> 00:45:47,840 Speaker 2: lifetime of eating carbohydrates, it's a tough diet. So adherence 701 00:45:48,200 --> 00:45:50,320 Speaker 2: is really key. So I want to tell you a 702 00:45:50,360 --> 00:45:54,120 Speaker 2: little personal story here, and we've got a we've got 703 00:45:54,120 --> 00:45:59,360 Speaker 2: a shocking family history of diabetes and the genetics. My 704 00:45:59,520 --> 00:46:03,080 Speaker 2: genetic and my two brothers genetics around obesity and diabetes 705 00:46:03,080 --> 00:46:06,960 Speaker 2: are shitters, really shitters, right, And my mom has had 706 00:46:07,040 --> 00:46:12,800 Speaker 2: diabetes for decades, and you know, I've tried several times 707 00:46:13,160 --> 00:46:15,800 Speaker 2: over the years to sort of help her. But a 708 00:46:15,880 --> 00:46:18,839 Speaker 2: bout a decade ago, my mom and dad came over 709 00:46:19,360 --> 00:46:22,200 Speaker 2: and I had been conspiring with my dad. They were 710 00:46:22,239 --> 00:46:25,759 Speaker 2: coming over for three three months, and I went and 711 00:46:25,760 --> 00:46:28,000 Speaker 2: got them from the airport and I said to my mom, 712 00:46:28,200 --> 00:46:32,759 Speaker 2: welcome to Camp Taylor. And we sat down and had 713 00:46:32,800 --> 00:46:38,200 Speaker 2: a long conversation about diabetes, the long term implications, particularly 714 00:46:38,200 --> 00:46:41,439 Speaker 2: your degenerative diseases, which scars the shit out of my mother. 715 00:46:41,920 --> 00:46:45,719 Speaker 2: And I said, will you do three months, and she said, okay, yes, 716 00:46:45,760 --> 00:46:48,879 Speaker 2: I'll do three months, and so we put her on 717 00:46:48,920 --> 00:46:53,120 Speaker 2: a high protein, moderate fat, but healthy fat, just like 718 00:46:53,200 --> 00:46:57,640 Speaker 2: you were talking about, very low carbohydrate diet. And she 719 00:46:57,800 --> 00:47:04,080 Speaker 2: left three months later twenty kilos lighter, wowz and off 720 00:47:04,120 --> 00:47:08,640 Speaker 2: her diabetes medication, right off her blood pressure medication. 721 00:47:08,960 --> 00:47:09,680 Speaker 1: Fantastic. 722 00:47:09,920 --> 00:47:13,799 Speaker 2: And that was in three months twenty kilos wow wow. 723 00:47:14,120 --> 00:47:16,920 Speaker 2: And the way it just dropped off her because she 724 00:47:17,040 --> 00:47:21,000 Speaker 2: was so into and resistant, right, But that's with one 725 00:47:21,120 --> 00:47:25,880 Speaker 2: hundred percent adherence, and there was exercise added in and 726 00:47:25,920 --> 00:47:29,480 Speaker 2: in increased over time. And that's the thing. If you 727 00:47:29,520 --> 00:47:33,719 Speaker 2: can control somebody in a metabolic ward like that for 728 00:47:33,760 --> 00:47:38,560 Speaker 2: three months, the results would be even better than free living, because, 729 00:47:38,600 --> 00:47:41,359 Speaker 2: as you say, it's hard, it's hard. Yes, I mean 730 00:47:41,520 --> 00:47:43,640 Speaker 2: I know it's hard. I tend to eat, but you know, 731 00:47:44,000 --> 00:47:46,120 Speaker 2: I'll every now and then have those other things, and 732 00:47:46,160 --> 00:47:49,800 Speaker 2: it's it's it's really hard to be really really strict, 733 00:47:49,840 --> 00:47:50,759 Speaker 2: isn't it. Yeah? 734 00:47:50,800 --> 00:47:54,160 Speaker 1: Yeah, yeah. You touched on something that about getting off medication, 735 00:47:54,239 --> 00:47:57,000 Speaker 1: which is a passion of mine, and since doing this, 736 00:47:57,239 --> 00:48:02,240 Speaker 1: I've been taking passions off medication, diabetes diabetic patients, taking 737 00:48:02,280 --> 00:48:07,120 Speaker 1: them off some self malurias, and that is a very 738 00:48:07,200 --> 00:48:11,399 Speaker 1: rewarding practice of mine. That it's much more rewarding than 739 00:48:11,440 --> 00:48:16,640 Speaker 1: seeing all patients coughs and codes and patients feels fantastic 740 00:48:16,680 --> 00:48:19,160 Speaker 1: about I'm telling them, you don't need to take this anymore. 741 00:48:19,560 --> 00:48:21,600 Speaker 1: We're going to reduce your blood pressure tablet, We're going 742 00:48:21,640 --> 00:48:26,360 Speaker 1: to reduce your diabetes drugs, and that is one of 743 00:48:26,400 --> 00:48:27,720 Speaker 1: the best things as a doctor. 744 00:48:28,320 --> 00:48:32,200 Speaker 2: Yeah, but really rewarding. Now, I want to get your thoughts. Sorry, 745 00:48:32,239 --> 00:48:34,560 Speaker 2: I know where we're coming close to time. I want 746 00:48:34,600 --> 00:48:37,080 Speaker 2: to get your thoughts in this new class of drugs, 747 00:48:37,120 --> 00:48:42,160 Speaker 2: the zimbic and then the variations of it, which and 748 00:48:42,200 --> 00:48:48,480 Speaker 2: there's particularly one that's targeted towards diabetes. Your thoughts on them, 749 00:48:48,719 --> 00:48:53,160 Speaker 2: both short term and long term. Yeah. 750 00:48:53,320 --> 00:48:57,680 Speaker 1: Yeah, So these drugs have been quite controversial, and I 751 00:48:57,719 --> 00:49:01,640 Speaker 1: think there is a place in them in those people 752 00:49:01,680 --> 00:49:05,919 Speaker 1: who are diabetic and if they want to lose weight, 753 00:49:05,960 --> 00:49:09,200 Speaker 1: there is a place that they these drugs do help 754 00:49:09,280 --> 00:49:13,400 Speaker 1: them lose their weight, control their diabetes, control their blood glucose, 755 00:49:13,800 --> 00:49:19,080 Speaker 1: control their diet and appetite. However, I think patients needs 756 00:49:19,120 --> 00:49:22,360 Speaker 1: to be worn there's lots of potential side effects with 757 00:49:22,440 --> 00:49:25,520 Speaker 1: these drugs that they do help you lose weight. They 758 00:49:25,560 --> 00:49:28,680 Speaker 1: help you lose fat, but they also help not help, 759 00:49:28,800 --> 00:49:32,960 Speaker 1: but they also causes a loose in leaning body mass, 760 00:49:33,000 --> 00:49:37,680 Speaker 1: including their muscle and bones. And that's right. And then 761 00:49:37,680 --> 00:49:39,840 Speaker 1: when you put your weight back on, you'll be putting 762 00:49:39,840 --> 00:49:44,799 Speaker 1: on fat, so you'll be replacing your bones and muscles 763 00:49:44,880 --> 00:49:48,160 Speaker 1: with fat when you put weight on. So these people 764 00:49:48,320 --> 00:49:53,440 Speaker 1: can get more frail, they can more chances of cyclopenia, 765 00:49:53,480 --> 00:49:56,560 Speaker 1: which is losing muscles. They're more frail, they can break bones. 766 00:49:57,160 --> 00:50:00,719 Speaker 1: And then there's mental health complications that can come with 767 00:50:00,960 --> 00:50:05,560 Speaker 1: these drugs as well, and there's lots of potential side 768 00:50:05,600 --> 00:50:08,600 Speaker 1: effects that we don't know of. So I think there 769 00:50:08,680 --> 00:50:10,960 Speaker 1: is the place, but patients have to be worn that 770 00:50:12,200 --> 00:50:15,000 Speaker 1: we don't know what we don't know. So yes, so 771 00:50:15,040 --> 00:50:16,160 Speaker 1: I'm not a big fan of them. 772 00:50:16,920 --> 00:50:21,080 Speaker 2: I think you summed it up beautifully. My real concern 773 00:50:21,239 --> 00:50:25,120 Speaker 2: is that the sycopenia. I did a podcast quite recently 774 00:50:25,160 --> 00:50:29,120 Speaker 2: on sycopinia. You know that n one in ten youths 775 00:50:29,280 --> 00:50:33,280 Speaker 2: are being diagnosed with cyclopedia and we wow, And because 776 00:50:33,280 --> 00:50:37,080 Speaker 2: they're not testing widespread, it's probably much higher than that 777 00:50:37,160 --> 00:50:40,040 Speaker 2: with all their sedentary behavior. Now, let's take the case 778 00:50:40,080 --> 00:50:45,640 Speaker 2: of this youth who then has developed arcopenia, and because 779 00:50:45,680 --> 00:50:48,360 Speaker 2: they're not exercising, they're sitting indoors all day, they're in 780 00:50:48,520 --> 00:50:51,000 Speaker 2: a shit diet. And then they put on with it 781 00:50:51,320 --> 00:50:54,120 Speaker 2: and then they go on these drugs, and then what's 782 00:50:54,120 --> 00:50:55,960 Speaker 2: going to happen is exactly as you said, they're going 783 00:50:56,000 --> 00:50:58,080 Speaker 2: to lose more muscle, they're going to lose more bone, 784 00:50:58,080 --> 00:51:02,160 Speaker 2: which is osteopenia, and then they can't be on those 785 00:51:02,239 --> 00:51:05,480 Speaker 2: drugs from twenty to eighty. They can't be on drugs 786 00:51:05,480 --> 00:51:08,440 Speaker 2: for sixty years, so they have to come off those drugs. 787 00:51:08,520 --> 00:51:10,080 Speaker 2: And then as you say, they're going to put on 788 00:51:10,200 --> 00:51:12,880 Speaker 2: more fat, they're not going to put on the muscle again. 789 00:51:13,520 --> 00:51:15,279 Speaker 2: And then they're going to be proposed and then it's 790 00:51:15,280 --> 00:51:18,360 Speaker 2: a metabolic disaster and then what they're back on the 791 00:51:18,400 --> 00:51:21,200 Speaker 2: drugs again. Yes, and as you say, we do not 792 00:51:21,600 --> 00:51:26,800 Speaker 2: know the long term issues. I mean, further short, pharmaceutical industry. 793 00:51:26,920 --> 00:51:31,200 Speaker 2: These drugs are amazing because a they have an impact 794 00:51:31,239 --> 00:51:35,920 Speaker 2: on people who can or won't do the work, and 795 00:51:36,000 --> 00:51:41,520 Speaker 2: there's instant impact. But b when they get off everything 796 00:51:41,560 --> 00:51:45,000 Speaker 2: goes back, so they need to really stay on the 797 00:51:45,040 --> 00:51:49,440 Speaker 2: drugs long term. So great for the pharmaceutical industry. But 798 00:51:50,320 --> 00:51:53,719 Speaker 2: I sure you're concerned. We do not know what we 799 00:51:53,840 --> 00:51:56,799 Speaker 2: do not know yet, and I think ten years from 800 00:51:56,840 --> 00:51:59,200 Speaker 2: now there's going to be a very different conversation about 801 00:51:59,239 --> 00:52:04,240 Speaker 2: these drugs. Yes, last thing I want to talk about 802 00:52:04,520 --> 00:52:09,719 Speaker 2: you like me, I've recently got into breath work. Talk 803 00:52:09,800 --> 00:52:12,960 Speaker 2: to me about that. Why have you got into it? 804 00:52:13,040 --> 00:52:15,040 Speaker 2: And talk to me about your experience with it. 805 00:52:15,760 --> 00:52:18,440 Speaker 1: Yeah. Yeah, I've gone into it for the last year 806 00:52:18,560 --> 00:52:23,360 Speaker 1: or so and that's helping me and my patients with 807 00:52:23,520 --> 00:52:28,919 Speaker 1: mental health and increasing reducing anxiety, of reducing stress. And 808 00:52:29,080 --> 00:52:31,800 Speaker 1: I've stuck into it more and more, and I've actually 809 00:52:31,880 --> 00:52:35,799 Speaker 1: certified myself as a breathwork facilitator. So I branded a 810 00:52:35,840 --> 00:52:39,719 Speaker 1: new business called Breathe in Health to help patients with 811 00:52:40,360 --> 00:52:44,840 Speaker 1: improving their breathing, talking about the nose breathing as opposed 812 00:52:44,880 --> 00:52:49,160 Speaker 1: to mouth breathing and suggesting them to nose breathe at 813 00:52:49,320 --> 00:52:52,759 Speaker 1: night and even exercise as well, and talking to them 814 00:52:52,800 --> 00:52:57,560 Speaker 1: about slowing down their breathing, improving their oxygen in their 815 00:52:59,440 --> 00:53:05,000 Speaker 1: body because of increasing the tolerance of carbon dioxide. So 816 00:53:05,200 --> 00:53:07,319 Speaker 1: I know we haven't got much time, but there's a 817 00:53:07,320 --> 00:53:11,920 Speaker 1: whole lot more science to breathing by retraining your body 818 00:53:11,960 --> 00:53:16,480 Speaker 1: to tolerate carbon dioxide and that in turns improves oxygen 819 00:53:16,480 --> 00:53:22,080 Speaker 1: delivery and quite often calms you down and increase improved 820 00:53:22,080 --> 00:53:25,920 Speaker 1: brain and health and improve exercise tolerance as well. So 821 00:53:25,960 --> 00:53:31,680 Speaker 1: I've totally delved myself into this breath work journey and 822 00:53:32,160 --> 00:53:36,280 Speaker 1: I'm myself be more calmer. I'll be religious doing breath 823 00:53:36,280 --> 00:53:40,240 Speaker 1: work at least once a day, usually fifteen minutes. Yesterday 824 00:53:40,280 --> 00:53:42,479 Speaker 1: I went to a breathwork class and for an hour, 825 00:53:43,640 --> 00:53:48,080 Speaker 1: and I feel much better. My life is super busy, 826 00:53:48,560 --> 00:53:53,200 Speaker 1: just on thego, and two teenage boys drive around and 827 00:53:53,520 --> 00:53:57,640 Speaker 1: I feel like I'm managing much better in my busy world. 828 00:53:58,120 --> 00:54:01,759 Speaker 2: Ie. You a'm a massive fun of breath work and 829 00:54:01,800 --> 00:54:07,600 Speaker 2: I think we've done the same oxygen advantage. Yes, yeah, yeah, brilliant, 830 00:54:07,600 --> 00:54:10,600 Speaker 2: brilliant stuff, Absolutely brilliant stuff. I'll put a link in 831 00:54:10,640 --> 00:54:14,239 Speaker 2: for people, talk about links. Where can people go ave 832 00:54:14,520 --> 00:54:17,480 Speaker 2: if they want to find more about you? The Low 833 00:54:17,560 --> 00:54:21,719 Speaker 2: Cloud Clinic or the Breathing Health and Love and by 834 00:54:21,719 --> 00:54:23,960 Speaker 2: the way, breath and Health. So just just give us 835 00:54:23,960 --> 00:54:26,600 Speaker 2: all the places that people can go to. Sure. 836 00:54:26,760 --> 00:54:31,040 Speaker 1: My website is Melbourne lowcarp Clinic. It's www dot MLC. 837 00:54:31,200 --> 00:54:35,600 Speaker 1: Clinic dot com dot Au and the Breathing Health website 838 00:54:35,680 --> 00:54:39,880 Speaker 1: is ww dot breathe in Health dot com dot Au. 839 00:54:40,680 --> 00:54:43,920 Speaker 1: And I'm very active on social media. My handles are 840 00:54:43,920 --> 00:54:49,239 Speaker 1: doctor child and Lifestyle GAP on Facebook and Instagram. My 841 00:54:49,360 --> 00:54:53,120 Speaker 1: YouTube is doctor Childs and Life Style GP as well, 842 00:54:53,239 --> 00:54:56,879 Speaker 1: and LinkedIn is just my name, Ady Chilton. And yeah, 843 00:54:56,960 --> 00:55:00,839 Speaker 1: i advocate prescribing lifestyle and I've got a podcast called 844 00:55:00,920 --> 00:55:04,520 Speaker 1: Prescribing Lifestyle which you've come on, and that I talk 845 00:55:04,640 --> 00:55:09,040 Speaker 1: to many people who have improved the health with lifestyle 846 00:55:09,080 --> 00:55:14,520 Speaker 1: and other lifestyle practitioners, and I'm really big on not 847 00:55:14,640 --> 00:55:19,000 Speaker 1: prescribing medications and deprescribing medications to my patients. 848 00:55:19,320 --> 00:55:24,480 Speaker 2: Amen, we need more gps like you. Av Keep doing 849 00:55:24,600 --> 00:55:27,280 Speaker 2: your awesome work and thank you for returning the fever 850 00:55:27,480 --> 00:55:30,320 Speaker 2: and coming on my podcast. I think it'll be awesome 851 00:55:30,360 --> 00:55:33,279 Speaker 2: for the listeners. And if you do, if you have 852 00:55:34,120 --> 00:55:36,840 Speaker 2: metabolic syndrome or you're there, you know you've got you 853 00:55:37,000 --> 00:55:39,160 Speaker 2: fought around the middle of your high blood pressures, how 854 00:55:39,200 --> 00:55:42,480 Speaker 2: you try. Glyceides are high, your HITDL is low, your 855 00:55:42,520 --> 00:55:46,279 Speaker 2: glucose is high, or any three of those. Get on 856 00:55:46,320 --> 00:55:51,000 Speaker 2: the Avhart and bandwagon because it's not a slippery slope. 857 00:55:51,040 --> 00:55:54,520 Speaker 2: It's a vortex and once you have metabolic syndrome, so 858 00:55:55,440 --> 00:55:57,799 Speaker 2: early intervention is critical, isn't it. 859 00:55:58,440 --> 00:56:02,040 Speaker 1: Yes, absolutely, that's right. We can reverse all of that. Yeah, 860 00:56:02,120 --> 00:56:03,680 Speaker 1: I heard the diet. 861 00:56:03,680 --> 00:56:06,239 Speaker 2: But the earlier you start, the easier it is to 862 00:56:06,280 --> 00:56:10,320 Speaker 2: reverse it. Thanks Heavy, Thank you Paul, thanks. 863 00:56:10,040 --> 00:56:10,560 Speaker 1: For having me. 864 00:56:11,400 --> 00:56:11,720 Speaker 2: Cheers,